Health Hazard -Asthma a major problem

Respiratory ailments double, cost 23 lives daily

New Delhi: World Health Organization’s data that indicates Delhi has the most polluted air in the world has confirmed what they have anecdotally known all along, say doctors in the city. They claim the deterioration in air quality has clearly been reflected in the number of patients with respiratory ailments and poor lung function, which has gone up several times over the past few years.
In 2012, the statistical handbook released by the state government said that an average of 23 people die every day due to respiratory diseases in the capital. The number of cases, data showed, had doubled in the past four years. Doctors say worsening air quality, a major trigger for respiratory conditions such as chronic bronchitis, lung cancer and infections, may cause more fatalities in the coming years if appropriate measures are not taken.
“The response to medicines has changed. Inhalers and nebulisers are proving ineffective in controlling symptoms of respiratory ailments. The number of emergency admissions, particularly among the elderly, has gone up too,” says Dr Arup Basu, vice-chairman of pulmonology department at Sir Ganga Ram Hospital. He says illnesses such as chronic bronchitis, cough and aggravation of asthma symptoms seen during change of season –onset of winter and summer season– are now observed throughout the year.
“Usually, these infections go away in a week or two but due to environmental changes we are seeing a lot of patients complaining about these symptoms continuing for over
amonth despite medications ,” adds the doctor. Dr A B Dey, professor and head of geriatric medicine at AIIMS, says exacerbation of chronic obstructive pulmonary disease or pneumonia infections are reported throughout the year.
It’s not just respiratory diseases, but the decline in air quality is causing increasein the incidence of other health ailments, including rheumatic arthritis, heart failure and depression.
“Incidence of autoimmune diseases, for example rheumatoid arthritis, has increased significantly which cannot be explained merely by citing genetic changes. The role of ambient air pollution, which is a known cause of aberration in the immune status of genetically predisposed individuals and even healthy ones, is being investigated,” says Dr Uma Kumar, head of clinical immunology and rheumatology department at AIIMS. She says that more than 200 patients suffering from rheumatoid arthritis visit the hospital every week.
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SOME MORE IMPORTANT TIPS FOR ASTHMATIC PATIENTS

1. If an asthma patient notice he/she is coming down with asthma symptoms stop doing what you are doing and remain calm.

2. In asthma attack situation if patient stressed out it will only worsen the attack.

3. Drinking cold water make an attack worse so remember to drink lukewater.

4. Do not run or walk fast in order to get to a particular location, this will speed up body metabolism and make the attack worse.

5. In attack situation avoid talking as it is a hard work on the neck muscles and cause them to tense up.

6. In winters avoid cold places and keep your body warm.

7. If you go outside in winters wearing an extra undershirt or jacket is never a bad idea.

8. In summers drink a lot of fluids and stay cool.

9. In summers avoid overheating your body it will heighten the chances of attack.

10. Avoid crowded and noisy places as much as possible.

11. In attack situation ask someone to grab the medications you need.

12. Prefer to eat such foods which strengthen the lungs i.e. grams or pulse of gram and its products.

13. If you are allergic to certain foods avoid them. e.g. some persons cannot digest tamarind that causes sneezing and ultimately if it persists then it sometimes turns into asthma.

14. In spring season, Cover your nose with handkerchief as in these days atmosphere is full of pollens.

15. Swimming is a good exercise for asthma patients as swimmers are required to control breathing while jumping into the deep water .

16. Swimming strengthens the lungs so its good for asthma patients also .

17. Only consult the doctor for advice and proper prescription.

18. Patients should regularly follow doctors advice.

19. Always keep your Inhalers near you.

20. Inhalers are the most preferred controller medication for persons with uncontrolled asthma.

21. Asthma Inhalers provide better control of Asthma symptoms and prevent future attacks.

22. Always take your medication regularly as prescribed by doctor.

23. If patient is feeling well completely then still he has to take preventative treatment everyday because asthma can’t be cured but it can be minimized.

24. Smoking is not good for asthma patients as its irritants can trigger asthma attacks.

25. Smoking makes a inhaled medicine less effective so stop smoking if you are an asthma patient.

26. Smoking can increase your medicine intake and worse your lungs health.

27. Asthma patients should stay in smoke free environment.

28. Asthma patients should take regular exercise.

29. If patient find exercise gives him troublesome asthma symptoms, he/she should discuss this with their doctor as you may need more preventive treatment.

30. For an asthma patient Walking , Swimming , cycling are the best exercises.

31. Patient should take care of himself in cold weather and keep inhalers close by and in a warm place.

32. Obesity cause an adverse impact on asthma so he should try to stay a healthy weight.

33. Asthma patient should avoid eating fast food as it causes obesity.

34. Asthma is beatable it can reduce it to a great Extent.

35. Patient should always try to breathe from nose during exercise as nose warms and filters the air before letting it go to lungs.

36. If a patient breathe through mouth during exercise it will increase the risk of triggering asthma symptoms.

37. Proper exercising definitely strengthens the respiratory muscles.

38. Exercising help in maintaining weight and decrease risk of heart disease due to asthma.

39. Asthma patient should monitor his/her health and talk to doctor before beginning to any sport.

40. Asthma patient should not exercise in non green zones it will worse his/her health

Food Allergies and Asthma

While it’s not common for food allergies to cause asthma symptoms, food allergies can cause a severe life-threatening reaction. The most common foods associated with allergic symptoms are:

  • Eggs
  • Cow’s milk
  • Peanuts
  • Soy
  • Wheat
  • Fish
  • Shrimp and other shellfish
  • Salads & fresh fruits

Food Preservatives and Asthma

Food preservatives can also trigger an asthma attack. Additives, such as sodium bisulfite, potassium bisulfite, sodium met bisulfite, potassium met bisulfite, and sodium sulfite, are commonly used in food processing or preparation and can be found in foods such as:

  • Dried fruits or vegetables
  • Potatoes (packaged and some prepared)
  • Wine and beer
  • Bottled lime or lemon juice
  • Shrimp (fresh, frozen, or prepared)
  • Pickled foods

Symptoms of Food Allergies and Asthma

In most people, the usual symptoms of food allergies are hives, rash, nausea, vomiting, and diarrhea. If you have food allergies that trigger symptoms of an asthma attack, you will likely experience these allergy symptoms, followed by coughing and wheezing. And if not caught quickly, anaphylaxis — swelling of the throat, cutting off the airway — may result.

If you suspect that certain foods are asthma triggers for you, discuss this with your doctor. Allergy skin tests can be done to determine if you are allergic to these foods.

What Do I Do If I Have Food Allergies and Asthma?

Avoid the Food Trigger. Try not to come into contact with the food you are allergic to. Avoiding food triggers can be challenging. It is important to always read food labels and, when dining out, ask how foods are prepared.

Consider Allergy Shots. The second thing you can do is to train your immune system to not overreact. Doctors do this by giving you allergy shots (immunotherapy) for asthma. An allergy shot is a small amount of the substance that causes your allergy. By giving repeated shots of the substance over a period of time, your immune system eventually stops causing the allergic reaction. Ask your doctor if you are a candidate for allergy shots. Sublingual Immunotherapy is an alternative to allergy shots. The medicine is dissolved under your tongue instead of through a shot.